Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arizona (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

A Better You Wellness Center, LLC (NPI 1023788031)

Field	Value
Entity Type	Organization
Organization	A Better You Wellness Center, LLC
Address	12414 N 28th Dr Ste D
City	Phoenix
State	AZ
ZIP	85029
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 20, 2021

Payer Source	Total Paid
Medicaid	$115.3M
Medicare	$0

Key Findings

A BETTER YOU WELLNESS CENTER, LLC is effectively a Medicaid-focused behavioral health provider with no Medicare billing on file; lifetime Medicaid revenue is $115.3M and the NPI was enumerated on 2021-09-20 (~5 years ago), indicating a relatively recent market entry and a concentrated payer footprint. The absence of Medicare activity means competitive comparisons and network influence should be evaluated primarily within the Arizona Medicaid ecosystem rather than against national Medicare peers.

Revenue is highly concentrated in a few Medicaid service lines: the precomputed top three Medicaid codes account for 84.1% of the provider’s Medicaid revenue. Those top contributors are T1016 ($41.7M, 36.2%), H0004 ($33M, 28.6%), and H2014 ($22.3M, 19.4%), demonstrating that most billing flows through a small set of service types.

The code mix and volumes indicate a service model centered on community and behavioral health supports: T1016 (case management, 16.8K claims), H0004 (behavioral health counseling and therapy, 9.2K claims), and H2014 (skills training and development, 16.8K claims) together drive the majority of encounters and revenue. High claim counts for case management and skills training suggest the organization delivers frequent, time-based community interventions and structured rehabilitative services rather than episodic medical procedures.

From a payer-mix and business risk perspective, the operation is effectively single-payer dependent on Medicaid ($115.3M) with no Medicare revenue reported; this concentrates reimbursement and contractual risk within state Medicaid policy and managed-care arrangements. Any regulatory, rate, or utilization changes in Arizona Medicaid could therefore have outsized financial impact on the provider’s operations.

Competitive standing varies by code: for T1016 the provider ranks #274 of 1157 in-state (76th percentile) and for H0004 it ranks #283 of 1147 (75th percentile), both described as typical volume levels relative to peers. H2014 sits higher at rank #89 of 783 (89th percentile), also characterized as typical but toward the upper end, while H2017 (psychosocial rehabilitation) is a clear outlier at rank #8 of 266 (97th percentile) and is noted as notably above typical state volume, indicating a relative state-level strength in psychosocial rehabilitation services.

Average paid-per-claim patterns further differentiate service lines: H0004 shows the highest avg paid/claim at $3579, followed by T1016 at $2481, H2014 at $1331, and H2017 at $1093. The relatively high per-claim payment for counseling and therapy (H0004) combined with large revenue share suggests these encounters are both high-value and central to the business model, while skills training and psychosocial rehab deliver volume-driven revenue at lower per-claim rates.

The provider’s heavy dependence on a small set of codes (top three representing 84.1% of Medicaid revenue and the single largest code T1016 representing 36.2%) creates both operational leverage and concentration risk: strength in targeted community behavioral services can be a competitive advantage in Arizona Medicaid markets, but it also means financial performance is sensitive to utilization shifts or reimbursement changes for those specific codes. Strategic diversification across additional service lines or payers would be the primary levers to reduce that exposure if stakeholders are concerned about revenue concentration.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	16,810	$2,480	$41.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	9,210	$3,580	$33M
H2014	Skills training and development, per 15 minutes	16,790	$1,330	$22.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	16,760	$1,090	$18.3M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arizona Distribution

A Better You Wellness Center, LLC — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	274	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	283	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	8	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	89	780	1,610	$100	$868.2K

Nearby Providers

Other providers in the same ZIP code as A Better You Wellness Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arizona Care Providers LLC	AZ	In Home Supportive Care Agency	$0	$115.8M
Orion Homes LLC	AZ	Mental Illness Community Based Residential Treatment Facility	$0	$84M
New Freedom Ops LLC	AZ	Community/Behavioral Health Agency	$0	$83.9M
Grand Canyon Home Care Inc.	AZ	Attendant Care Provider	$0	$30.3M
Med One Healthcare LLC	AZ	Customized Equipment (DME)	$0	$24.4M
Sun Pain Management, PLLC	AZ	Pain Medicine (Anesthesiology) Physician	$0	$16.7M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$101K	$14.9M
Abdelhameed Yaqoub	AZ	Driver	$0	$13.8M
Phoenix Toxicology & Lab Services	AZ	Clinical Medical Laboratory	$1.6M	$7.9M
Arizona Gastrointestinal Associates, Plc	AZ	Gastroenterology Physician	$0	$8.3M

A Better You Wellness Center, LLC — Billing Profile & Reimbursement Data

Sign up for A Better You Wellness Center, LLC — Billing Profile & Reimbursement Data policy alerts

A Better You Wellness Center, LLC — Billing Profile & Reimbursement Data

Sign up for A Better You Wellness Center, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References